Individual provider Active NPI

Claudia Randow McDaniel, DDS

  • General Practice Dentistry
  • Boynton Beach, FL
National Provider Identifier
1316505290
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26592 Issued in FL
Practice address
1790 N Congress Ave Ste 100
Boynton Beach, FL 33426-8268
Phone
(561) 572-3555
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401416521 VA
General Practice Dentistry 1223G0001X DN26592 FL Primary

Addresses

Primary practice location

1790 N Congress Ave Ste 100
Boynton Beach, FL 33426-8268

Mailing address

1790 N Congress Ave Ste 100
Boynton Beach, FL 33426-8268
Phone (561) 572-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416521VAMDDentist
DN26592FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Dental of Eastern Virginia PLLC General Practice Past Accepting new patients
Sage Dental of Central Boynton Beach, PLLC Dentist PastSince Jan 17, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1316505290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268268",
            "telephone_number": "561-572-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268268",
            "telephone_number": "561-572-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CLAUDIA",
        "middle_name": "RANDOW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-01-04",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416521",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.